Provider Demographics
NPI:1932394657
Name:COUNTY OF ROCK COUNTY CLERK
Entity Type:Organization
Organization Name:COUNTY OF ROCK COUNTY CLERK
Other - Org Name:ROCK COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:608-757-5440
Mailing Address - Street 1:PO BOX 1143
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53547-1143
Mailing Address - Country:US
Mailing Address - Phone:608-757-5440
Mailing Address - Fax:608-758-8423
Practice Address - Street 1:3328 N US HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0772
Practice Address - Country:US
Practice Address - Phone:608-757-5440
Practice Address - Fax:608-758-8423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare